{"id":6715,"date":"2014-01-21T14:09:27","date_gmt":"2014-01-21T12:09:27","guid":{"rendered":"https:\/\/www.famelab.gr\/?p=6715"},"modified":"2025-10-30T08:40:53","modified_gmt":"2025-10-30T08:40:53","slug":"instruments-to-assess-secondhand-smoke-exposure-in-large-cohorts-of-never-smokers-the-smoke-scales","status":"publish","type":"post","link":"https:\/\/famelab.gr\/el\/instruments-to-assess-secondhand-smoke-exposure-in-large-cohorts-of-never-smokers-the-smoke-scales\/","title":{"rendered":"Instruments to assess secondhand smoke exposure in large cohorts of never smokers: the smoke scales"},"content":{"rendered":"

\"FAME<\/a>Misailidi M<\/a>, Tzatzarakis MN, Kavvalakis MP, Koutedakis Y, Tsatsakis AM, Flouris AD<\/a>. Instruments to assess secondhand smoke exposure in large cohorts of never smokers: the smoke scales. PLoS One. 2014 Jan 21;9(1):e85809. doi: 10.1371\/journal.pone.0085809. PMID: 24465719; PMCID: PMC3897519.<\/span><\/p>\n

Abstract:<\/strong><\/span><\/p>\n

The objectives of this study were to:\u00a0(i) to develop questionnaires that can identify never-smoking children and adults experiencing increased exposure to secondhand smoke (SHS+), (ii) to determine their validity against hair nicotine, and (iii) assess their reliability.<\/p>\n

A sample of 191 children (85 males; 106 females; 7-18 years) and 95 adult (23 males; 72 females; 18-62 years) never-smokers consented to hair nicotine analysis and answered a large number of questions assessing all sources of SHS. A randomly-selected 30% answered the questions again after 20-30 days. Prevalence of SHS+ in children and adults was 0.52\u00b10.07 and 0.67\u00b10.10, respectively (p<0.05). The Smoke Scale for Children (SS-C) and the Smoke Scale for Adults (SS-A) were developed via factor analysis and included nine questions each.<\/p>\n

Positivity criteria for SS-C and SS-A via receiver operating characteristics curve analysis were identified at >16.5 and >16, respectively. Significant Kappa agreement (p<0.05) was confirmed when comparing the SS-C and SS-A to hair nicotine concentration. Reliability analyses demonstrated that the SS-C and SS-A scores obtained on two different days are highly correlated (p<0.001) and not significantly different (p>0.05). Area under the curve and McNemar’s Chi-square showed no pair-wise differences in sensitivity and specificity at the cutoff point between the two different days for SS-C and SS-A (p>0.05).<\/p>\n

We conclude that the SS-C and the SS-A represent valid, reliable, practical, and inexpensive instruments to identify children and adult never-smokers exposed to increased SHS. Future research should aim to further increase the validity of the two questionnaires.<\/p>\n

Full Text Link: <\/strong><\/span><\/p>\n

https:\/\/journals.plos.org\/plosone\/article?id=10.1371\/journal.pone.0085809<\/a><\/p>\n

Download PDF:<\/strong><\/span><\/p>\n

https:\/\/www.famelab.gr\/wp-content\/uploads\/2022\/04\/Instruments-to-assess-secondhand-smoke-exposure-in-large-cohorts-of-never-smokers-the-smoke-scales_2014.pdf<\/a><\/p>\n

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 <\/p>","protected":false},"excerpt":{"rendered":"

Misailidi M, Tzatzarakis MN, Kavvalakis MP, Koutedakis Y, Tsatsakis AM, Flouris AD. Instruments to assess secondhand smoke exposure in large cohorts of never smokers: the smoke scales. PLoS One. 2014 Jan 21;9(1):e85809. doi: 10.1371\/journal.pone.0085809. PMID: 24465719; PMCID: PMC3897519. Abstract: The objectives of this study were to:\u00a0(i) to develop questionnaires that can identify never-smoking children and […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[45],"tags":[],"class_list":["post-6715","post","type-post","status-publish","format-standard","hentry","category-fame-lab-publications-2014"],"_links":{"self":[{"href":"https:\/\/famelab.gr\/el\/wp-json\/wp\/v2\/posts\/6715","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/famelab.gr\/el\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/famelab.gr\/el\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/famelab.gr\/el\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/famelab.gr\/el\/wp-json\/wp\/v2\/comments?post=6715"}],"version-history":[{"count":1,"href":"https:\/\/famelab.gr\/el\/wp-json\/wp\/v2\/posts\/6715\/revisions"}],"predecessor-version":[{"id":16647,"href":"https:\/\/famelab.gr\/el\/wp-json\/wp\/v2\/posts\/6715\/revisions\/16647"}],"wp:attachment":[{"href":"https:\/\/famelab.gr\/el\/wp-json\/wp\/v2\/media?parent=6715"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/famelab.gr\/el\/wp-json\/wp\/v2\/categories?post=6715"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/famelab.gr\/el\/wp-json\/wp\/v2\/tags?post=6715"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}